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LIFE CONNECT MEDICAL, INC
NPI 1245489384
Clinic/Center - Primary Care in Rancho Mirage, CA

Active since September 12, 2008
35900 BOB HOPE DR, SUITE # 100, RANCHO MIRAGE, CA 92270(760) 699-7117(760) 699-7750 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Life Connect Medical, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE CONNECT MEDICAL, INC (NPI 1245489384) is a healthcare organization registered as a primary care in Rancho Mirage, California and active in the NPI registry since September 2008. The organization lists Padma Khanchustambahm, Owner, as its authorized official.

NPPES Registry Identity

NPI1245489384
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFE CONNECT MEDICAL, INC
Location Address35900 BOB HOPE DR, SUITE # 100Rancho Mirage, CA 92270-1766
Mailing Address36101 Bob Hope Dr, Ste. E-5 #117Rancho Mirage, CA 92270-2001 · (760) 217-0126 · Fax (760) 699-7750
Phone(760) 699-7117
Fax(760) 699-7750
Organization SubpartNo
Authorized OfficialPadma KhanchustambahmOwner · (760) 464-2166
Enumeration DateSeptember 12, 2008
Last NPPES UpdateMay 3, 2016
✔ NPI 1245489384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A86478
35900 BOB HOPE DR, Rancho Mirage, CA 92270
Open in Google Maps ↗

Other Identifiers 2

OtherAV186CA · Medicare Ptan
Medicare PINAV186CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Connect Medical, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Life Connect Medical, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Padma Khanchustambham, M.D.
Internal Medicine
NPI 1245243146
35400 BOB HOPE DR SUITE # 209
Rancho Mirage, CA 92270
(760) 699-7117
✔ PECOS✔ Accepts Medicare0.1 mi
Wanda Long, ACNP-BC
Nurse Practitioner
NPI 1003456609
40891 BREEZY PASS RD
Palm Desert, CA 92211
(757) 714-0916
✔ PECOS✔ Accepts Medicare6.4 mi
Sofia Peterson, M.D.
Internal Medicine
NPI 1386664498
33758 YUCAIPA BLVD
Yucaipa, CA 92399
(909) 795-9747
✔ PECOS42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Connect Medical, Inc's NPI number?

The NPI number for Life Connect Medical, Inc is 1245489384. It was assigned to this organization in the NPPES registry on September 12, 2008.

Where is Life Connect Medical, Inc located?

Life Connect Medical, Inc is located at 35900 Bob Hope Dr Suite # 100, Rancho Mirage, CA 92270. The listed phone number is (760) 699-7117.

What is Life Connect Medical, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Life Connect Medical, Inc enrolled in Medicare?

Yes. Life Connect Medical, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Connect Medical, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Life Connect Medical, Inc, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Connect Medical, Inc was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.